| Regimental number | 580 |
| Place of birth | Hobart, Tasmania |
| Occupation | Labourer |
| Address | Bagdad, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs E Bower, Bagdad, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force, G Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Fate | No details of fate entered on Nominal Roll |